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Home My WebLink About15061 Springdale St - CofO (56)0r .4'"'o R/sl% • �J HUNTINGTON BEACF Business Addr Business Owni Business Nami Business Type CERTIFICATE OF OCCUPANCY 020_j_L- bj 32 CITY OF HUNTINGTON BEACH - DEPT. OF COMMUNITY DEVELOPMENT APPLICATION f (3rd Floor — The Applicant Must Apply In -Person) S�-6 g Z 0Date -z— I :7J f f. Zip Code q `Z� ff Telephone No. '7/'/ Bus. Phone Property Owner Information (required) Tenant/Emergency_Contact (required) Name IVI Q Name 41z-rHu P— Address aS30 phi l Aite 'tip. ft4de—Z,�.1^ Home Address 36/9 tlty i-cl City So►e)jef P-ie State/Zip (�,, 92_70S' City (Z)r A-Jo,v► dv_j State/Zip V j Telephone No, yi d ��/� Telephone No. 3/ U S_7y -G 9 `' 9 THIS USE WOULD BE DESCRIBED AS: O Newly Constructed Building or maxis ''ng Building IS THIS BUILDING FIRE SPRINKLERED? E Yes ONO CHECK ALL THAT APPLY: ❑ Change of Business Owner CChapge of Occupant ❑ Change of Use ❑ Additional Occupant ■ Indicate former type of business He_q AA, LIU (er ■ Are you requesting that the electricity be turned on? ❑Yes CT10 ■ Will operations produce dust/wood shavings or similar material? ❑ Yes ■ EKo- Will operations involve the repair or replacement of automobile parts? El Yes ❑No'_ If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? ❑ Yes ff No ■ Will the buss ss be a drinking, dining or assembly use with an occupant load of more than 50 persons? El Yes O o ■ Will there be storage racks, gondolas, or shelvi�nceeding 5feet 9 inches in height? ❑Yes QNo ■ The following best describes my operation: L� Office Only ❑ Retail Sales ❑Medical/Dental ❑Warehouse /Manufacturing/Distribution ❑ Restaurant/Take-Out Food ❑ Other ■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes o If you answered yes, please proceed to the next question. • Does your facility currently have a grease control device (i.e. grease trap or grease interceptor)? Check one: ❑ Yes ❑ No For Official Use Onl Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: _ Bldg. Permit # Planning Initials:J_Date:A& tv Area: Area: Area: No. of Stories: Entitlement #: Occ Load: Occ Load: Occ Load: TIF Review: Y/ N Zoning: C, Building Reviewed By Initials: Date: Conditions of Approval or Other Notes: "Ce . ND MEO PLEZ3 U) a,50 . Grease Interceptor Verified Inspected By Initials: Date: (a - 0-7 66 South Coast f Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-3529 • http:// www.aqmd.gov Air Quality Permit Checklist California State Law Code 65850.2 prohibits cities from issuing an occupancy permit to a business without clearance from the local air quality agency. This checklist will determine if you need to obtain clearance from the South Coast Air Quality Management District (AQMD). Company Name: Property Address: G S a,h (e- !�T City: _ iq eco Zip Code: Contact Person:�Voi Title: u Type of Business: 14& A ;-�kf Telephone: �% / Y 7 �'G�rvj' Fax Number: e-mail address: 1%r Vw' ve_� Applicant (print name): A9R112 ~h$ignature. Date: • Will the facility have any of the following equipment? Yes ❑ No Charbroiler Dry cleaning machine Spray booth Printing press (screen/lithographic/flexographic) Internal combustion engine greater than 50 HP (excluding motor vehicles) Boiler/combustion equipment (greater than I million BTU/hr. maximum input) Abrasive blasting cabinet/room Baghouse/cartridge-type dust filter/scrubber Motor fuel storage and dispensing equipment • Will any of the following operations be performed? Yes[:] No d"", Application of paints or adhesives Etching, plating, casting, or melting of metals Molding, extruding, or curing of plastics Mixing and blending of liquids and/or powders Storage of acids, solvents, organic liquids, or fuels Production of fumes, dust, smoke, or strong odors If you answered "No" to both questions, this checklist is your clearance from AQMD. If you answered "Yes" to either question, you must contact AQMD to determine if air quality permits are required. If permits are needed, AQMD will assist you in submitting permit application(s) and then provide you with a clearance letter. You can call AQMD at their Small Business Assistance Office at 1-800-CUT-SMOG (1-800-288-7664). -2- Department of Planning & Building 2000 Main Street Huntington Beach, CA 92648 Phone: (714) 536-5241 Fax: (714) 374-1647 - OccupancyApplicatiou 777770 • •.: • • 15061 Springdale St 100 BECKER NICK" 15061 APN' 145-531-37 Certificate of OccupancyiApplication Application Binder. , Num Street JobAddress 561 S rtn dale St Unit Bld 206 APN 145-531-37. s RD 2911 l Zoning CG Lot Track P0159 Block 11 mM, File Number ` CofO? E2011.004093 No Entered By Woo, Melanie Date Entered 06/04I 014- P2011-004094 No p for Ford, Bill Status Pendin 02011-004314 Yes g Default Ins eo B2011.004593 ` No Permit Type Certificate of Occupancy Issue Permit? Date E2011-004595 No M2011-006981 No Origin ICounter Issued By�� F2011-0071 96 No Building User City y� Planner Medel, Rosemary P2012-001067 No C2012-002415 No Building Use - County , New Building? Plan Checker 02013-002868 Yes 02013-004944 6 Yes Description OFFICE TO OFFICE***FOREFRONT HEALTH INSURANCE SOLUTIONS 02014-003422 Yes AGENCY*** Internal Notes 'Certificate of Occupancy CofO Number ` CO2611 -06iZ Choose F�nnf All ` CofO Type Permanent Fees and Payments Sheets to, lssae Inspections _ Issued By Srnale VO CofO Status Pendinndin CofO Date Issued Temp. CofO Issued Date Printed Utility Release Date Temp; COFO Expiration Click the button to copy the Business License License Number A289200 information into the Certificate of Occupancy. Business Name FOREFRONT HEALTH INSURANCE SOL Business Licenses Business Name A240542� NOTARY DIRECT NATIONWIDE LLC Business Type Professi;nai / Other j A255946 1 HORIZON PREGNANCY CENTER Business Phone (714) 410.0241 A188910,i SHRADER &ASSOCIATES A188912 MEDBY MICHAEL Proposed Use OFFICE Approved Occupied Area (Sq Ft) 0.00 Former Use OFFICE # of Stories Conditions OFFICE TO OFFICE FChange of Owner? Elec. Available? Drinking / Dining n 50 Occupants? Change of Use? Want Electricity On? Welding / Open Flame? ® Change of Occupant? Sprinklered? Automobile Repairs? Additional Occupant!? � Dust / Wood? Auto Parts Desc. ,,occupancy Gr6y'OlLoad Group Description Area Construction Type Occupancy Load Group Definitiol- NMI Mil Type * Name field must be blank to add/Change Contractor, Designer or Engineer Same AS for Designer / Engineer Mobile Phone ( ) PropertyOwner Contractor Property Owner Name GERLACH, BRIAN Pager]( ) - Business Owner Tenant CompanyState License Type Address 13636 BIRCH ST Self Insured / Non -Employer? City I State / Zip NEWPORT BEACH' CA 92660 ❑ a Override Contractor Expiration Dates? Email ! ` Phone �(949) 250-9100 x Fax ( ) - bate Overridden �— n By Overriddej